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GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL

Ambulatory Health Care Facilities Clinic/Center Military and U.S. Coast Guard Ambulatory Procedure

Provider NPI: 1225083249

Organization Information:
Organization Name:  GENERAL LEONARD WOOD ARMY COMMUNITY HOSPITAL
Organization is not Subpart
Authorized Official:  NANCY  LAMBERT  CHIEF, UBO  573-596-0494

Practice Location:
4430 MISSOURI AVE  FORT LEONARD WOOD, MO 65473-9098 US
Tel: 573-596-0035  Fax: --

Business Mailing Address:
4430 MISSOURI AVE BOX 1242 FORT LEONARD WOOD, MO 65473-9098 US
Tel: 573-596-0494  Fax: 573-596-0511

NPI Information:
NPI: 1225083249
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QM1101XAmbulatory Health Care Facilities
Clinic/Center
Military and U.S. Coast Guard Ambulatory Procedure
N261QM1100XAmbulatory Health Care Facilities
Clinic/Center
N332000000XSuppliers
Military/U.S. Coast Guard Pharmacy
N341800000XTransportation Services
Military/U.S. Coast Guard Transport
Y2865M2000XHospitals
Military Hospital

Other Provider Identifiers:

IssuerNumberStateType
NCPDP263306501
MEDCOAN259858801



American Medical Association 2012 taxonomy code information

Code: 2865M2000X

Type:

Classification:



Definition:



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